Eye

Ask an Eye Doctor and Get an Answer ASAP

Ask a Doctor,
Get an Answer ASAP!

Eye
This answer was rated:

I've been diagnosed w/blepharitis. Did a week course of

I've been diagnosed w/blepharitis....
I've been diagnosed w/blepharitis. Did a week course of heavy duty steroid drops (can't remember name) and doc has now switched me to Lotemax for daily care. I've also been using general lubricant drops. Was at pharmacy yesterday and turns out pharmacist has same condition and advised her eye doc said to use Blink and it has definitely helped better than generic lubricant drops. I also put a hot moist cloth over eyelids 1x/day for several minutes and do the eye scrub thing w/baby shampoo. Just wondering if there are any other suggestions to help manage this condition.
Thanks.
Show More
Show Less
Ask Your Own Eye Question
Answered in 15 minutes by:
10/1/2012
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,664
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

I do not agree with the use of steroids or antibiotic drops for the treatment of blepharitis, except in rare cases.

Dr. Rick :

Blink, however, is good :)

Customer:

I understand that the Lotemax may increase eye pressure and am only using 1x/day vs the 2 or 3 my eye doc said I could do. Do you suggest anything else other than Blink?


Dr. Rick :

It sounds like you are doing the correct thing with warm compresses and baby shampoo lid scrubs. Here is how I like to do the lid scrubs for blepharitis:

Dr. Rick :

Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.

The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.

Dr. Rick :

I am glad to hear that you are doing well. The lotemax will help with inflammation and make you feel a lot better while the lid scrubs and warm compresses take effect.

One thing to know, however, is that even one drop a day of a steroid eye drop can cause complications but it should be safe to use short term.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

I think blink is one of the better lubricating drops but any of them, such as lacrilube or refresh, work well.

Customer:

Good idea about the warmth of the shower helping the eye lid scrub. I was just doing at the sink. I forgot to say that I think my doc was aggressive w/steroid drops was because I had a bump on inside of lower lid - a blockage he said and we needed to get it to shrink. It's still there but much smaller w/treatments I've done and doesn't bother me so we're leaving it alone unless it flares up again.

The pharmacist who suggested Blink said it's for contact lens wearers but anyone can use and when I look at ingredients it looks like they mimic what's normally in the body vs general lubricants which seem to be oil byproducts.

All your suggestions are very good. Appreciate a second opinion.

Dr. Rick :

My pleasure. Take care.

Dr. Rick :

Please remember the top 3 ratings are positives and Excellent service is my goal. Your positive feedback is how we are compensated. If you aren't 100% satisfied, just click "reply." I will be happy to discuss your issue in more depth and do everything I can to provide you with the information you require.

Otherwise, a high positive rating is very much appreciated, bonuses are great, and find me anytime for follow up.


Let me know if you have further questions.

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,664
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick and 87 other Eye Specialists are ready to help you
Ask your own question now
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,664
11,664 Satisfied Customers
Experience: Ophthalmology since 1994 with Retina sub-specialty interest

Dr. Rick is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,334 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
What is the cause of the red eye? What is the cause of the
what is the cause of the red eye? JA: How long have you had the symptoms? What seems to make the symptoms worse or better? Customer: What is the cause of the red eye? JA: Anything else in your medical… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
I just got a new exam for contacts done last Thursday. Now
I just got a new exam for contacts done last Thursday. Now today is Tuesday and I've been wearing a trial pair that the doctor gave me. It cause me to have a eye infection from the left eye because th… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
It's a long story. I had cataract surgery a week ago
It's a long story. I had cataract surgery a week ago Thursday. My doctor implanted a distance vision only IOL. I went for a one week follow up this past Wednesday. I was able to read 20-40 on the eye … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,664 satisfied customers
I would like to know if the following eyeglass prescriptions
Hello, I would like to know if the following eyeglass prescriptions are the same or almost the same: #1 OD -6.25 +1.25 x 90 20/20 OS -6.00 +1.00 x 076 20/20#2 Sphere Cylinder Axis RT -4.50 -1.25 175 L… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Concerned about my 14 year old daughter. She has been
Concerned about my 14 year old daughter. She has been complaining for a while that her eyelids feels bruised? … read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Recently, I've noticed if I rub my eyelid softly, I can feel
Hello! Recently, I've noticed if I rub my eyelid softly, I can feel little bumps under my lids. Is this normal?Facts about me: I'm a 29 year old, female, I've worn glasses since kindergarten, and cont… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
I've noticed my vision has been going in and out of focus
Hello, I've noticed my vision has been going in and out of focus with my contacts. It has been going on for about two months now. Just nervous something is terribly wrong. Can someone help? I'm just h… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I guess I'm just nervous because I'm not used to all this.
Hello. I guess I'm just nervous because I'm not used to all this. Do you think I have high calcium or hypaparathyroidism or hypoparathyroidism with the symptoms I've shared?… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
My eye loses focus with my contact. It especially does it
My eye loses focus with my contact. It especially does it when I'm watching tv or on my phone. I'm trying to figure out why. Can anybody help?… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Two weeks ago I wore contacts and I thought I took them out
Two weeks ago I wore contacts and I thought I took them out because the next morning my vision was unclear until I put my glasses on. Today I went to put in contacts, … read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I think I found the answer on your website, but will ask
Hello. I think I found the answer on your website, but will ask just to be sure... I just had some gasoline splashed in my eye. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
I accidently rinsed my contact lens in the peroxide solution
I accidently rinsed my contact lens in the peroxide solution & put it in my eye. I got the contact out almost right away; however my eye is very red and irritated. I am wanting to know what; if anythi… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,664 satisfied customers
I used an allergy eye drop with my contact lens in (not
I used an allergy eye drop with my contact lens in (not knowing it should be removed) but I just noticed my pupil is dilated is this a reaction to the drops? … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,696 satisfied customers
I have developed dry eyes/blepharitis and retinal hole
HelloI have developed dry eyes/blepharitis and retinal hole (fully-operculated). This was all checked out by ophthalmologist and retinal specialist and treated accordingly.I have a question specific t… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,664 satisfied customers
I was was wearing Kerasoft contact lens for a few days but
I was was wearing Kerasoft contact lens for a few days but with the wrong contact lens solution Boston Simplus(for RGP). My eyes were slightly burning during this time. Could there be any eye damage? … read more
khagihara
khagihara
Post-Doctoral Degree
5,119 satisfied customers
For ophthalmologist ---- I am yrs old. No contact lens. I
For ophthalmologist ---- I am 69 yrs old. No contact lens. I have been having dry eyes. I went to my eye doc and he did an exhaustive exam. He said i had dry eyes (saw "sudsing" on the scan ) and pres… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,664 satisfied customers
I stored my soft contact lens overnight in what I thought
I stored my soft contact lens overnight in what I thought was the solution for them but when I woke in morning and put them in it felt like someone had put acid in my eyes. Come to find out it was cle… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
My daughter has just come back from a contact lens check and
Hi my daughter has just come back from a contact lens check and the optician told her that her optic nerves were paler than usual … read more
Dr. Thomas, MD
Dr. Thomas, MD
2,227 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x